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86-623 CERTIFICATE OF OCCUPANCY TOWN OF QUIENSBURY WARREN COUNTY, NEW YORK per_ January 30 19 =? This is to certify dkat work retuaroed to be done as down by Permit No. 86-6._ has beak compie" This struchare app be ocmpkd as a -- One-Family Dwelling west side Route 9 north Route 149 - Mohican Motel i Opwsx Geop$@ Stark By Order Town Hoard TOWN OF QUEENSBURY Building & Zoning Inspector CDCA�WC "IMCTA•• MIMf/M6. "CMS FALLS. M V 12601 1910179 L5afe BUILDING PERMIT TOWN OF QUEENSBURY No. 86-623 WARREN COUNTY, NEW YORK PERMISSION is hereby granted to George Stark OWNER of property located at west side Route 9 north Route 149 Street,Road or Ave. at Mohican Motel in the Town of Queensbury,To Construct or place a One-Family Dwelling - Demolition Dwelling at the above location in accordance to application together with plot plans and other information hereto filed and approved and in compliance with the Town of Queensbury Building and Zoning Ordinance. 0 1. OWNER'SAddrossa RR #1 00 Lake George, New York fD W rr w �t 2. CONTRACTOR or BUI LDERS Name W Wesley Veysey 3. CONTRACTOR or BUILDERS Address 61 McArthur Drive Glens Falls, New York : w rt 4. ARCHITECT'S Name W a m 0 5. ARCHITECTS Address rr �o 0 6. TYPE of Coratruction—(Please indicate by X) H rr Ix)Wood Frame 1 )Masonry ( )Stool 1 1 0 7. PLANS and Specifications 0 C 32'x42' dwelling per plot plan, specifications and application m NO. submitted - using existing system system and dwelling will be f, attached to an existing garage. Demolition of old dwelling �o B. Proposed Use 32 x42 One-Family Dwelling M I $5.00 C/O m 189.00 PERMIT FEE PAID—THIS PERMIT EXPIRES April 1 19 87 (If a longer period is required an application for an extension must be made to the Building and Zoning inspector of the �C town of Queensbury before the expiration date.) m Dated at the Town of Queensbury this 24th Day�of September 19 86 ~ F+ OC SIGNED BY for the Torn of Quewdbury Building and Zoning Inspector TOWN OF QUEENSBURY (Space inside block to be filled in by WARREN COUNTY, NEW YORK Building Inspector) lication for Application N . . App Permit Issued lg. . BUILDING AND ZONING PERMIT l'ormit Expires. /Th lg. 7,(iiiiilp. District r—Th r)I . • . \ ;slut• nl Work i fii / C� 1 / /././nrcl h�THREE (3) Copes of a PLOT PLAN, Drawn to scale j �ir showing the actual dimensions of the lot to be built ltcmai•KS' upon, The exact sire, and location on the lot of the 1 building to be erected or altered MUST BE SUB- MITTED WITH THIS APPLICATION. • 1 TOWNof°C N.IEEN URY DATE ` C I A PERMIT MUST BE OBTAINED BEFORE BEGINNING WORK � z--111 ANSWER ALL OF THE FOLLOWING. --,- 1 6 1 The undersigned hereby applies for a permit to do the following work �• which will be done in accordance with the description, plans and specifi- 71819 e a 1121�I)4I51i cations, and such special conditions as may be indicated on the permit. CO /VC-t- The ow er of thi propert _ is: e., �,� _/ R.yn`� J�/.i.J . . �'.. Yr�. . . .V.tOt:yr (/\ / lam[ INA'•'E) 0 (P.O.ADDRESS,I The person responsible for supervision of the work insofar as the Building Code and he Zoning Ordinance pply is: / M . . . Owig`i ( G/ r�•, ic:/ ki!-0,,:•.(,/ ((NA ) (P 0 ADORES { _)l� Name of Builder (�S<(`'•� l✓.L•'!'�e Address �,/ 74c1=�l4'i/4 ��- _yr�.�J.!) :i 7' Address . . ��%'G(,�e,�i<_'. : �jt, � J • Name of Plumber // 5 , / Name of Mason. ire .ip!��. . . .C.). /i;�(L).1:., Address •/ LJ . • /i-vz �_ . .-1/.Lo: .6. Lot Number Unit Estimated value of proposed work ' 3 .,Jc.67 CJ Name of Village / Name of Street .(:Y?. . C'.t:7:'1!r�'. • 0 f-4-! Side of street: north 0, east 0, south O. west ] Nearest Cross Street : I t./ 2° Distance from this cross street . . /. 01'')0 Ft. Property is north' la,south ❑,east [I, west ❑from Cross Street If on Corner, which corner, northeast ❑, northwest ❑, southeast ❑. southwest (Designate by marking with an "X" in the correct space.) NATURE OF PROPOSED WORK OCCUPANCY 01- Construction of a new building. Main Building ❑ Addition to a building. One-family dwelling PI Two-family dwelling ❑ ❑ Alteration to a building. -family apartment house ❑ . Demolition of a building. Store building ❑ • -car attached garage ❑ Other: • Accessory Building One-car detached garage 0 Other work. Describe • Two-car detached garage ❑ Private chicken house ❑ Private storage building ❑ Other: • ZONING SPECIFICATIONS. Fill in for new building, or addition to existing building, or a change of occupancy. • Indicate on the plot plan street names, the location and size of the property, the location, site and setbacks of pro- posed buildings,and the location of all existing buildings. NORTH Show proposed building(s) in dotted line and existing building(s) in solid line. . Size of property -ct2eitO:• • • ft. x ft. • O. Size and use oif existing buildings, if any ?3:.. . . . :rich?/. . .C7'/ ',C1t:; - y 4.1)/ .�- W Size of proposed building ft.x ft. Height(from grade to ridge) ft. . Front yard ft. Side yards ft. and ft. l 4/7 Rear yard • ft. SOUTH If on corner,setback from side street ft.. Note: All distances are net, as measured from street side line to nearest part of building. (OVER) , 7-73-M . (cont'd.) BUILDING SPECIFICATIONS., / !? Kind of construction: Wood frame, fire safe, etc.' 7-1/c.?c--? . . /g Will any second-hand lumber be used? AiC.5 • If so, for what? Material of foundation-walls . . .Cc'.' _ an/7��' Thickness .�}'.-�!p.�'./' Depth of foundation walls below grade Continuous foundation? Will there be a cellar? // If so, material of cellar floor Type of roof: Sloped or flat? .6c.A2..P- Material of roof . .j. !j��... �n.S'�G� . . . /�!?�'/, Size,wood studs o2,. "x • • " ", spacing /(2 . "o.c., length ft. Size, floor beams, 1st floor a. . "x /Q ", spacing / "o.c., span ft. Size, floor beams, 2nd floor " x ", spacing "o.c., span ft. Size, ceiling beams " x ", spacing "o.c., span ft. Size, roof rafters or beams isf,l1`;s i)-`r ", spacing "o.c., span ft. C' material? . .7 --c' . . . . . . Exterior finish . . . ..� C1./.x!_ With what . ./�. .� JL .i Finish of interior walls. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . If garage is to be attached, of what maSSeria}''is wall between garage and main bui<1Qing to be constructed? COir . . . . ,lOC,,C,S Is there to be an opening between garage and building? / 'S" I Kind of heating system ./'.rj/.C.?CY /cc. I If . Oil burner or coal? .,/VA T, Geis' Will a flue-lined chimney be provided?,i /4' 'C_T. �4!?1•Depth of chimney foundation below grade Height of chimney above roof Will there be a fireplace? . . .NO Depth of fireplace hearth Will a toilet be installed? Vt9.�' Will a kitchen sink be installed and connected to water supply? l Water supply (public water supply or pump) 3I IV/O. Distance of cesspool from any private well feet Will drainage system be provided with required traps, cleanouts, and vents? Town of Queensbury AFFIDAVIT County of Warren State of New York I swear that to tr.-bard my knowledge and belief the statements contained in this a plication,together with the plans and specifications sub- mitted, are a true and co.i.•lete statement of all proposed work to be done on the described premises an )that all provisions of the BUILD- ING CODE,THE ZONING ORDINANCE,and all other laws pertaining to the pro.. wo shall be co plied with,whether specified or not, and that such work is authorized by the owner. . Sworn to before me this Signature 1 . Q ...... . ........ . / , •W ER,OWNS AGE . CHIT . O T ACTOR day of 19 NOTARY PUBLIC, WARREN COUNTY. N. Y. SPECIAL CONDITIONS OF THE PERMIT: - • • By TOWN OF QUEENSBURY WARREN COUNTY, NEW YORK Application for : BUILDING PERMIT IN COMPLIANCE WITH THE NEW YORK STATE ENERGY CONSERVATION CODE A permit must be obtained before beginning work. ANSWER ALL of the following: 1. Gross floor area 2 . Type of heat /— i2 �Grti 'v 3 . Is the building mechanically cooled? /gyp 4 . Percentage of area of windows and doors A. Over 16% Only 1 . Uo value of gross area of walls , roof/ceiling and floors exposed to ambient conditions 2 . Floor over heated spaces YES NO a. Are foundation walls insulated? YES NO 1 . If YES, what is the R value? 3 . Slab on grade YES NO a. If YES, what is the R value of insulation around perimeter of floor? • 4. Is basement heated? YES NO a. R value of insulation 5. Type of insulation B. Under 16% Only 1. R value of, roof and floors exposed to ambient conditions • ' 2 . R value of exterior walls oe,-/6.9 3. R value of glazed area 77 4. R value of doors 4/, / 7 - 5. R value of floors over unheated spaces 6. R value of slab edge insulation - unheated slab 7. R value of slab insulation - heated slab 8. R value of heated basement/cellar walls (above grade) 9. R value of heated basement/cellar walls (below grade) 10. Type of insulation s, /--- 4.0(4T,ra (i 1# 0 C. Controls O c�+ 1. Thermostat maximum heat setting / G D. Duct Systems 1. Is duct system installed in unheated spaces? YES • N0, a. If YES , R value of duct installation b. R value of duct in other areas E. Piping Insulation 1. Size of hot water or cooling carrying agent pipe 2. R value of pipe insulation F. Service Water Heating 1. Performance efficiency 2. Temperature control setting maximum G. For Swimming Pool Only 1. Maximum heating Telephone No. -79 1-12-04 4.4/4 (applica`nt ' s stgna ' ure) 'j , • BUILDING DEPT.COPY APPLICATION FORM-46-EL,NEW YORK BOARD OF FIRE UNDERWRITERS. • . FILE THIS COPY WITH BUILDING.DEPT.WHEN REQUIRED. il TEMP.# DATE �' U 3" I ' CITY OR _ //i VILLAGE lcS /, .'' p'..•l7K, TOWNSHIP /'.•/ (�%,j'Z44(y COUNTY�/i/1 __- STREET AND NO.OR �i / ROAD AND POLE NO. I6- / POLE NO. • BETWEEN WHAT CROSS EMI STREETS S IS "_f /�' / 1 PREMISES LOCATED? C�� 147 SECTION BLOCK LOT , OCCUPANT'S / BUILDING NAME C�. C/i . ' f rL_ OCCUPANCY ���1 , �J ��1_/ OWNER'S NAME �/� 3 — /.. ��/ /�j {/ AND ADDRESS��Ji�C 4.4 / . al �( c9 V 5& ✓4 TEL.# '�5 f/ 4! 7 / CURRENT [��,/},� 1 BYPPLIED If'C C fx/S {J��� FROM THEIR G��yl /�i/-S OFFICE ISUILDING / NEW l�lj fI OLD❑ IS NEW/ ADDITIONAL❑ 'REMOVED DEFECTS ❑ LIST BELOW ALL EQUIPMENT WHICH YOU INSTALLED • No.of Fixtures& BRANCH NUMBER OF OUTLETS Lamp Receptacles MOTORS HEATERS CIRCUITS OFFICE USE - Lou- • ONLY ton CeilingSide Attach't Switch Pendant Bracket No. Type H'j Each No. Watts No. A'W'G' INSPECTION - ' " Well Recep'Is Each' Gauge Out- . side - Sub- - - - base . aBase- , ment - . •i 1st FI. - - • , - 2nd FI. 3rd FI. REMARKS: LIST OTHER ELECTRICAL DEVICES NOT SET FORTH ABOVE: . DO NOT USE THIS SPACE. , This application is intended to cover the above-listed equipment to be inspected but if at time of inspection there is found additional equipment not above listed, • you are authorized to make the inspection and adjust the fee to cover the additional equipment,as provided by the applicant. • SIZE OF - ELECTRIC SIGN TOTAL MAINS • 't FEEDERS LAMPS _ WATTS CHARACTER it EXPOSED GAS TUBE SIGN OF WORK ,i CONCEALED TRANSFORMERS OF VA . WORK TO BE 1 • . (NUMBER) (CAPACITY) STARTED COMPLETED SIZE OF SIGN • SERVICE OVERHEAD UNDERGROUND MAKER•'. - ENTERS • OF SIGN . BUILDING - INSPECTION REQUESTED d - - ON OR AS NEAR AS ;i - POSSIBLE NEW OLD 0 _ „ AVOID DELAY BY GIVING FULL AND ACCURATE INFORMATION.ALL SPACES DATE OF :_MUST BE FILLED IN OR APPLICATION MAY BE RETURNED. - APPLICATION ' PRINT NAME AND ADDRESS !j NAME OF J,r /L if `�I%1 ."'OF APPLICANT y SIGNATURE � "P " �APPLICANT t'S/ !j�J/�Jy��y yam/ /� STREET ADDRESS /177, r j�^ �? �� 0/ TELEPHONE# +� 9 F36l• • POST OFFICE( A 1• Pi'/ 7 N. f ZIP CODE/.w ° WHEN APPLLICENSE ICABLE 46 EL (REV-. 1/86) A SEPARATE APPLICATION MUST BE FILED FOR EACH-SEPARATE BUILDING - Ca 11 e4' // _loom of Queeni‘ury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 Rec & ono. BUILDING INSPECTOR ' S REPORT NAME e C' I- Ss-rap-lc - - Ica/ LOCATIONtto4 e Date / a9 /11 Permit No. y6, _b23 * * * * * * * * * * * * * * * * * * A. * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill • Framing Roofing ' Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- /_ �l< r A14 L Ak, 1444LS 4 B ilding Ins ecto 6/86 and-vl actin of 2ueeniurj BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 L yg�„��V Queensbury, New York 12801 ; BUILDING INSPECTOR ' S REPORT NAME (CYtAttl-1.-(AJ )Atfl it n'r-L-- LOCATIONn / • Date Ittb / Permit No. %- 4`` 4 * * * * * * * *. * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing -Roofing _Siding • ✓ Masonry Veneer Rough Plumbing -Relief Valves -Ext. Porches 1/ -Finished Floors -,Interior Trim N\\/\ /:\ _Stairs & Railings Cellar Drain Tile Concrete Floors -Plbg. Fixtures r� l✓ ---Gar. Fireproofing / ,/�/ --Door Closers j� --Smoke Detectors (✓'d� -Chimney I, INSULATION: Foundation 7 i1. ) ,$M J ) Floors Walls Ceiling FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey 1.416Pi�-ij[ Next scheduled inspection (call when ready) Remarks- /24/81 1-"6 .41)10 fJ44/t riA1 �rA i 4S Z,��A,ox_ 4-pp 1tfjpO d214-r t 1 'I Building In pe for 6/86 and-vl c,-.7 sown of Qaeniarfk71 BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 BUILDING INSPECTOR ' S REPORT NAME LOCATION ����'�'c' ► C /( ( Date / / 6:2Permit No. �+ 3 * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing I\Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors • Plbg. Fixtures Gar. Fireproofing Door Closers Smoke Detectors Chimney INSULATION: Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTInN DRIVEWAY APPROVAL Final Building Survey Next scheduled inspection (call when ready) Remarks- 0i70, sor ()tic Building nspector 6/86 and-vl C l� c��77 I ° L2 1�0 (o /6.75-7� _lown o f Quceniur, BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 'BUILDING INSPECTOR' S REPORT NAME 5 I P c . GL� � " LOCATION r NUR 1 Ca ylOre/ O Date jDf 4,2. 2/ >r(, Permit No. G a * * * * * * * * * * * * * * * * * * * * * * * ✓ = APPROVED - YES / NO Footing/Pier Forms Foundation . Waterproofing Backfill y )(Framing ' r Roofing Siding Masonry Veneer Rough Plumbing ,J,-/, o&tou,o Relief Valves Ext. Porches Finished Floors j Interior Trim Stairs & Railings / Cellar Drain Tile / Concrete Floors • \ Plbg. Fixtures )'' Gar. Fireproofing /jz Door Closers d' Smoke Detectors Chimney INSULATION. 0 Foundation 2 r,Q4 t/Uf5 o9i' Floors Walls 1Z-1 Ceiling ��-3� T✓ FINAL ELECTRICAL INSPECTION DRIVEWAY APPROVAL Final Building Survey PL'A4 Y'(A 4,— 1L&d M5 '( !0,tl Next scheduled inspection (call when ready) Remarks- 0 6A-00 E V6%' s vt 'i-1/rL ,6"-K(2 G� B )/(T;- ilding Inspe for 6/86 and-vl Gali -to`f 1011 / (' 3 Pm _Jown o/ Queen3hury BUILDING and ZONING DEPARTMENT Bay and Haviland Road, R.D. 1 Box 98 Queensbury, New York 12801 (ifc-, 3'c59 BUILDING INSPECTOR' S REPORT NAME r.TP CY tf• P S r-t--s • LOCATION N rt Cot" Mal,e.4 Kt c Date /o I. / Permit No. _ �3 * * * * * * * * * * * * * * * * * * * * * * * ,--Cr tt US ✓ = APPROVED - YES / NO 7GFooting/Pier Forms Foundation Waterproofing Backfill Framing Roofing Siding Masonry Veneer Rough Plumbing Relief Valves Ext. Porches Finished Floors Interior Trim Stairs & Railings Cellar Drain Tile Concrete Floors f Plbg. Fixtures ,/ Gar. Fireproofing \, /`r Door Closers �/ Smoke Detectors Chimney '+ /// INSULATION: \ Foundation Floors Walls Ceiling FINAL ELECTRICAL INSPECTION Final Building Survey Next scheduled Inspection(call when ready) Remarks- - a t.tdz z %7 Building Inspector 6/86 and-vl 793-8307 WESLEY C . VEYSEY BUILDING CONTRACTOR Remodeling — Additions 61 MacARTHUR DRIVE New Construction GLENS FALLS, N. Y. 12801 PrLO filu--1-7 .I G • GJ J1 , c„v fly 7 3 14- •